Provider First Line Business Practice Location Address:
7407 N DIVISION ST STE K
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99208-5689
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-464-2001
Provider Business Practice Location Address Fax Number:
509-464-2008
Provider Enumeration Date:
05/07/2013